Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.36 / $834.36 / $834.36	Facility		$834.36	$834.36	$834.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.37 / $834.36 / $2,532.96	Professional		$752.37	$834.36	$2,532.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,927.22 / $1,975.80 / $2,469.75	Professional		$1,927.22	$1,975.80	$2,469.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,075.89 / $1,410.07 / $2,356.91	Facility		$1,075.89	$1,410.07	$2,356.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,811.66 / $6,562.40	Professional		$1,087.00	$1,811.66	$6,562.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,415.35 / $2,180.11 / $2,686.36	Facility		$1,415.35	$2,180.11	$2,686.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,454.00 / $1,927.22 / $2,333.52	Professional		$1,454.00	$1,927.22	$2,333.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,097.59 / $1,467.33 / $1,712.99	Professional		$1,097.59	$1,467.33	$1,712.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,578.06 / $2,454.76	Professional		$1,087.00	$1,578.06	$2,454.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,699.40 / $1,999.20 / $2,079.19	Professional		$1,699.40	$1,999.20	$2,079.19